| NPI | 1518582642 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBEKAH MARIE LILLY Speech Pathologist 304-667-3448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech |
| Enumeration Date | 2020-06-15 |
| Last Update Date | 2020-06-15 |